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Ohio rates for HCPCS L3807

Wrist-hand-finger orthosis (WHFO), without joint(s), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.50 / $147.27 / $354.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.85 / $147.27 / $277.47
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.00 / $205.64 / $205.64
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.45 / $301.61 / $781.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.76 / $148.53 / $360.28
Aultcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.06 / $233.06 / $233.06
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$205.64 / $274.19 / $370.16
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.19 / $248.11 / $587.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$135.00 / $135.00 / $323.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.55 / $135.00 / $225.35
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$135.00 / $135.00 / $135.00
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.55 / $135.00 / $135.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.80 / $161.98 / $212.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.19 / $131.81 / $183.89